Roux-en-Y longitudinal Pancreatico Jejunostomy for Pancreatic Calculi in Children

Abstract

Background: Pancreatic calculi is distinctly uncommon in children and usually present wit recurrent abdominal pain.
Objective: To assess the effectiveness of longitudinal pancreatico-jejunostomy in relieving intractable abdominal pain in children with pancreatic calculi.
Methods: this prospective study was conducted from 2003-2009 at Paediatric Surgery Department of BSMMU. Ductal decompression by longitudinal pancreatic jejunostomy (LPJ) was done in 14 children (10 male, 4 female) suffering from intractable abdominal pain due to pancreatic calculi. The operative outcomes were divided in to satisfactory and unsatisfactory according to whether the patients were completely or almost completely relieved of pain or continued to be troubled by pain. The main outcome measures were pain relief, postoperative morbidity and mortality.
Results: There was no mortality and no significant postoperative morbidity. 14 patients were followed up till 2009. The mean follow-up period were 22 (range 8-72) months. Operative results was satisfactory (no pain) in 12 patients and unsatisfactory (moderate pain) in 2 patients. Complete pain relief was seen 12 patients.
Conclusion: Longitudianal pancreatico-jejunostomy is a good operative procedure to relieve intractable abdominal pain in patients with pancreatic calculi.

Key words: Pancreatic calculi; Pancreatico-jejunostomy; abdominal pain  

DOI: 10.3329/bsmmuj.v3i2.7055

BSMMU J 2010; 3(2): 72-75